Narayan Ananthu, Ojha Vineeta, Arava Sudheer, Ray Animesh
Department of Internal Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2021 Jan 20;14(1):e239573. doi: 10.1136/bcr-2020-239573.
We report a rare case of cardiac angiosarcoma in a young boy who presented with cardiac tamponade. His initial symptoms were non-specific. He was initially being managed in the line of fungal infection, with a possibility of malignancy. Cardiac imaging was also not conclusive and he worsened on antibiotics and antifungals and succumbed to the illness. After his death tissue biopsy from heart and lung was done and histopathological examination revealed the diagnosis of metastatic angiosarcoma. The case highlights the importance of considering the diagnosis of cardiac angiosarcoma in the patients presenting with haemorrhagic pericardial effusion and non-specific symptoms.
我们报告了一例年轻男孩患心脏血管肉瘤的罕见病例,该男孩表现为心脏压塞。他最初的症状不具特异性。起初他按真菌感染进行治疗,同时怀疑有恶性肿瘤的可能。心脏成像也未能确诊,他在使用抗生素和抗真菌药物治疗后病情恶化,最终病逝。他死后对心脏和肺进行了组织活检,组织病理学检查确诊为转移性血管肉瘤。该病例凸显了对于出现出血性心包积液和非特异性症状的患者,考虑心脏血管肉瘤诊断的重要性。